Active NPI
Womens Health of Edenton PC
- Obstetrics & Gynecology Physician
- Edenton, NC
National Provider Identifier
1679642532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMENS HEALTH OF EDENTON PC
- Practice address
- 309 N Broad Street
Edenton, NC 27932 - Phone
- (252) 482-7001
- Fax
- (252) 482-0966
- NPI assigned
- Nov 7, 2006
- Last updated
- Dec 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter F Boehling, MD
- Title
- Physician
- Phone
- (252) 482-7001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
309 N Broad Street
Edenton, NC 27932
Mailing address
309 N Broad Street
Edenton, NC 27932
Phone (252) 482-7001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89016RO | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
309 N Broad St
Edenton, NC 27932
Phone (252) 482-7001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Edenton, NC
- NPI 1346319209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291766400000",
"number": "1679642532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 N BROAD STREET",
"city": "EDENTON",
"state": "NC",
"postal_code": "27932",
"telephone_number": "252-482-7001",
"fax_number": "252-482-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 N BROAD STREET",
"city": "EDENTON",
"state": "NC",
"postal_code": "27932",
"telephone_number": "252-482-7001",
"fax_number": "252-482-0966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS HEALTH OF EDENTON PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2010-12-08",
"status": "A",
"authorized_official_last_name": "BOEHLING",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "252-482-7001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89016RO",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.